An Investigation of the Benefits of Stress Management Within a Cardiac Rehabilitation Population
Abstract
In Brief PURPOSE: Research describing whether stress management can improve clinical outcomes for patients in cardiac rehabilitation (CR) has yielded equivocal findings. METHODS: The present investigation retrospectively examined the incremental impact of exercise and stress management (n = 188), relative to exercise only (n = 1389), on psychosocial and physical health outcomes following a 12-week CR program. RESULTS: Participation in stress management and exercise was associated with greater reductions in waist circumference and systolic blood pressure, relative to exercise alone, for patients with baseline clinical elevations on these measures. The stress management group had more depressive symptoms (as measured by the Hospital Anxiety and Depression Scale; t[1] = 3.81, P < .001) and lower physical quality of life (as measured by the 12-Item Short Form Health Survey Physical Component; t[1] = 3.00, P = .003) than the exercise-only group at baseline, but there were no differences between the groups at 12 weeks in terms of depressive symptoms (t[1] = 1.74, P = .082) or physical quality of life (t[1] = 1.56, P = .120). CONCLUSION: These findings suggest that stress management may offer additional benefits in selected patients over and above exercise in CR. This study retrospectively evaluated the impact of exercise and stress management relative to exercise on health following cardiac rehabilitation (CR). Stress management was associated with greater reductions in waist circumference and systolic blood pressure for patients with clinical elevations on these measures, suggesting additional benefits of stress management in CR.
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CBT has been shown to be an effective treatment for reducing anxiety symptoms in various somatic pathologies and in subjects with high levels of perceived stress or anxiety or burnout, particularly in the workplace.
“CBT has been shown to be an effective treatment for reducing anxiety symptoms in various somatic pathologies such as cardiovascular disease [10,11], diabetes [12], chronic fatigue syndrome [13], and breast cancer [14] and in subjects with high levels of perceived stress or anxiety or burnout, particularly in the workplace [15].”
From Efficacy of Seren@ctif, a computer-based stress management program for patients with adjustment disorder with anxiety: Protocol for a controlled trial (2017) · cites this paper as [11]
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“CBT has been shown to be an effective treatment for reducing anxiety symptoms in various somatic pathologies such as cardiovascular disease [10,11], diabetes [12], chronic fatigue syndrome [13], and breast cancer [14] and in subjects with high levels of perceived stress or anxiety or burnout,…”
- Authors
- Campbell, T. S., Stevenson, A., Arena, R., Hauer, T., Bacon, S. L., Rouleau, C. R., Cannon, C., & Stone, J. A.
- Affiliations
- University of Calgary (CA)
- Corresponding author
- Campbell, Tavis S.
- Venue
- Journal of Cardiopulmonary Rehabilitation and Prevention
- Published
- 2012-09
- Volume
- 32
- Issue
- 5
- Pages
- 296-304
- ISSN
- 1932-7501 (ISSN-L)
- OpenAlex
- W1988557292
- Cited by
- 12
- References
- 32
- Citations by year
- 2025: 2 · 2024: 1 · 2020: 1 · 2017: 3 · 2016: 1 · 2015: 2 · 2014: 1 · 2013: 1
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Cardiopulmonary Rehabilitation and Prevention (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- stress management, cardiac rehabilitation, physical activity, depressive symptoms, physical quality of life, waist circumference, systolic blood pressure, psychosocial outcomes, physical health outcomes
- MeSH terms
- Cardiac Rehabilitation, Analysis of Variance, Cardiovascular Diseases, Exercise Therapy, Female, Health Status Indicators, Health Surveys, Humans, Male, Middle Aged, Psychometrics, Quality of Life, Retrospective Studies, Statistics as Topic, Stress, Psychological, Program Evaluation, Exercise Tolerance
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